Form 20
APPOINTMENT AND AUTHORITY TO PAY COURT APPOINTED COUNSEL
Read these instructions carefully before completing the form. Accuracy and thoroughness will aid in the prompt payment of the claim. If possible, use a typewriter to complete the form; otherwise, write legibly with a ball point pen (preferably black or dark blue ink). If the form is system generated, Items 1 through 12 and 14 will be preprinted on the form. Attach an itemized statement of the services provided and expenses incurred. Give the date and the number of hours claimed for each service provided. Provide dates for and a description of the expenses incurred. For additional guidance, see the Guidelines for the Administration of the Criminal Justice Act and Related Statutes (CJA Guidelines), Volume VII, Guide to Judiciary Policies and Procedures, which is available for reference in the Clerk's office.
Appointed counsel may obtain investigative, expert, and other services necessary for adequate representation in accordance with the procedures set forth in subsection(e) of the Criminal Justice Act (CJA), 18 U.S.C. ?3006A. Prior authorization from the presiding judicial officer is required for all such services where the cost, excluding expenses, will exceed $300. Failure to obtain prior authorization will result in the disallowance of any amount claimed for compensation in excess of $300, unless the presiding judicial officer, in the interest of justice, finds that timely procurement of necessary services could not await prior authorization. Payment for these services should be claimed directly by the service provider on a CJA Form 21, "Authorization and Voucher for Expert and Other Services."
Vouchers shall be submitted no later than 45 days after the final disposition of the case, unless good cause is shown (Paragraph 2.21A, cja
guidelines). All payments made pursuant to this claim are subject to post-audit; contemporaneous time and attendance records as well as expense records must be maintained for three years after approval of the final voucher (paragraph 2.32, cja guidelines). Any overpayments are subject to collection, including deduction of amounts due from future vouchers
NOTE: The "FOR COURT USE ONLY" column will reflect any
mathematical or technical adjustments to the claim during the judicial
approval process or changes during a required additional review of the
chief judge of the court of appeals (or delegate). Supervised
Release SIGNATURE OF THE PRESIDING JUDICIAL OFFICER: If the total amount
approved for payment (both in-court and out-of-court), not including
expenses, is less than or equal to the statutory limitation, the claim
will be processed for payment. The presiding judicial officer will sign
and date the voucher indicating approval of the amount to be paid in Item
27. If compensation exceeds the statutory threshold for the
representation, submit a detailed memorandum, supporting and justifying
that the representation was provided in a complex or extended case and
that the claim for the excess amount is necessary to provide fair
compensation. Upon preliminary approval of the claim, the presiding
judicial officer will (1) signify approval by circling the word "cert"
(for word certified) in Item 27 and (2) forward the voucher to the chief
judge of the court of appeals (or delegate) for approval of the excess
amount. The JUDGE CODE will be provided by the court staff.
Item 1.
CIR./DIST./DIV. CODE: This four-character location code is the circuit or district, and divisional office codes of the court where the proceedings for the person represented are held.
Item 2.
PERSON REPRESENTED: Give the full name of the person whom you were appointed to represent.
Items 3-6.
DOCKET NUMBERS:Provide the case file or miscellaneous number assigned by the court. Enter the number using the last two digits of the calendar year (YY), the sequential number assigned by the court (NNNNNN), and the defendant number (DDD) as shown on the indictment or charging document. Thus, the format of the docket number is YY-NNNNNN-DDD. Note: If two or more cases are heard or tried together for the person represented, complete a separate voucher for each case in which representation is provided (i.e., for each docket number listed). Prorate
the total time among the cases. On supporting documentation, cross reference all related claims for which costs are prorated.
Item 7.
IN CASE/MATTER OF (CASE NAME): In criminal cases, enter U.S. vs. Defendant's Name. If it is a multiple defendant case, give the case cite as provided on the indictment or information (e.g., U. S. vs. Lead Defendant's Name, et al). If the person represented is not a defendant (e.g., material witness), enter the first named defendant in the court's recording of the case. If this is a civil case (e.g., habeas corpus), enter the Name of the Petitioner vs. the Name of the Respondent and include the respondent's title. If other than a civil or criminal case (i.e., miscellaneous matters), enter "In the Matter of" followed by the Name of the Person Represented.
Item 8.
PAYMENT CATEGORY: Check the appropriate box that establishes the statutory threshold for representation in this case type. If "Other" payment category is checked, specify the category within the scope of the CJA. See paragraph 2.22 B(2) of the CJA Guidelines.
Item 9.
TYPE PERSON REPRESENTED: Check the box that defines the legal status of the person represented.
Item 10.
REPRESENTATION TYPE: From the list below, select the code that describes the type of representation:
CC A defendant charged in a criminal case with an offense(s) that is a felony, misdemeanor, or petty offense under the United States Code, or an assimilated crime under a state code including ancillary matters.
FOR DEATH PENALTY CASES, USE THE CJA FORM 30 AND APPLICABLE TYPE OF REPRESENTATION CODES
NT A new trial either directed from the court of appeals on remand or as a result of a mistrial
MA Motion attacking a sentence (28 U.S.C. ? 2255)
MC Motion to correct or reduce sentence (Fed. R. Crim. P. 35)
HC Habeas corpus, non-capital (28 U.S.C. ? 2254)
BP Bail Presentment
WI Material Witness (in custody)
WW Witnesses (Grand Jury, a Court, the Congress, a Federal Agency, etc.)
PR Probation Revocation
PA Parole Revocation
SR Supervised Release Hearing
EW Extraordinary Writs ( Prohibition, Mandamus)
CH Mental Competency Hearings (see Chapter 313 of Title 18 U.S. Code)
PT Pretrial Diversion
EX Extradition Cases (Foreign)
OT Other types (e.g., line ups, consultations, prisoner transfer, etc.)
TD Appeal of a Trial Disposition
CA Other Types of Appeals
AP Appeal From Magistrate's Decision
CF Civil Asset Forfeiture
AF Appeal of Civil Asset Forfeiture
Item 11.
OFFENSE(S) CHARGED: Cite the U.S. Code, with title and section, or other code citation of the offense or offenses (list up to five) with which the person represented is charged. If other than a federal code is cited, state the statutory maximum period of confinement authorized for the offense. If a civil matter, such as a habeas corpus representation or a motion attacking sentence, cite 28 U.S.C. ? 2254 or 28 U.S.C. ? 2255, respectively. For direct appeals from a case disposition, cite the major offense (U.S. Code, title and section) for which the defendant was convicted.
Items 12/14
ATTORNEY'S NAME AND MAILING ADDRESS and NAME AND MAILING ADDRESS OF LAW FIRM: Complete Item 12 with the legal name and address of the attorney appointed to represent the person whose name is shown in Item 2. If prior to your appointment for representation, you had a pre-existing agreement with a law firm or corporation, including a professional corporation, indicating that CJA earnings belong to the law firm or corporation, rather than to the court-appointed attorney/payee, provide the name and mailing address of that law firm or corporation in Item 14.
This information will allow earnings to be reported to the Internal Revenue Service (IRS) on a 1099 Statement as earnings of the law firm or
corporation and not as the earnings of the attorney appointed. (Note: Information about a pre-existing agreement, including the Taxpayer
Identification Number (TIN) of the law firm or corporation, should be provided to the court staff when the attorney is admitted to the panel or
at initial appointment to a case.)
Item 13.
COURT ORDER: Check the box that describes the type of counsel
appointed. If appointed as a substitute counsel, give the name of the
previous counsel and the appointment date. If appointed as a "Standby
Counsel," check "Other" and attach a court order establishing this type of
appointment in accordance with paragraph 2.17 of the CJA
Guidelines. Also check "Other" if counsel is appointed pursuant to 28
U.S.C. ? 1875(d)(1) to protect a juror's employment rights, and attach the
court order appointing counsel for this purpose. The remaining portion of
this item will be completed by the clerk of court or other
court-designated person. The presiding judicial officer or clerk of court
must sign and date this court order to validate the appointment. If
services were provided prior to court appointment, the presiding judicial
officer may wish to ratify the previous service by indicating a "nunc pro
tunc" date that covers the services prior to appointment. No other court
order is necessary. Indicate whether the court orders full or partial
repayment of the cost for representation from the person represented at
the time of appointment by checking "Yes" or "No."
Item 15.
IN-COURT SERVICES: Enter the total number of hours claimed (in
hours and tenths of an hour) for each applicable in-court service
category. To support the totals entered in each category, attach to the
voucher an itemization of services, by date, and indicate the number of
hours for each service. Enter the total in-court hours where required on
the form, and multiply the total number of in-court hours claimed by the
hourly rate in effect for the place of holding court in which the
representation is provided or the attorney maintains his or her principal
office. If the case is an appeal to the court of appeals, enter the higher
of the rates per hour in effect for the place of holding court in which
the attorney maintains his or her principal office or the place of holding
court out of which the case arose. Enter the total amount claimed in the
appropriate box on the form.
Item 16.
OUT-OF-COURT SERVICES: Complete according to the instructions
above for in-court time, using the applicable out-of-court hourly rate of
compensation.
Item 17.
TRAVEL EXPENSES: Travel related expenses that are incidental to
the representation (e.g., transportation, lodging, meals, car rental,
parking, bridge, road and tunnel tolls, etc.) must be itemized on a
separate sheet, indicating dates the expense was incurred. Attach
supporting documentation (receipts, canceled checks, etc.) for all travel
expenses. Travel expenses by privately owned automobile, motorcycle, or
aircraft should be claimed at the rate in effect for federal
employees at the time of travel. For overnight travel, reasonable expenses
for lodging and meals will be reimbursed on an actual expense basis; per
diem is not allowed. Counsel should be guided by prevailing limitations
for travel and subsistence expenses of federal employees. The clerk of
court can advise you of applicable rates and federal government travel
regulations.
Item 18.
OTHER EXPENSES: Itemize all reimbursable out-of-pocket expenses
incidental to representation. Provide dates and a brief description of the
expense. Enter the total claimed where required on the form. Submit
supporting documentation (receipts, canceled checks, etc.) for single item
expenses in excess of $50. Reimbursable expenses may include, in some
circumstances, payments to law students or law clerks for legal research
and assistance and the cost of computer assisted legal research (CALR)
when conducted by counsel. See paragraphs 2.31 and 3.15 of the CJA
Guidelines for an explanation. The following are not reimbursable
expenses, and should not be claimed:
1. General office overhead, such as rent, telephone services, and secretarial services.
2. Expenses for items of a personal nature for the client (e.g., clothes, haircuts).
3. The cost of printing briefs. However, the cost of photocopying or similar copying service is reimbursable.
4. Fact witness fees, witness travel costs, and expenses for service of subpoenas. These expenses are not paid out of the CJA appropriation,
but instead are paid by the Department of Justice pursuant to Fed. R. Crim. P. 17, and 28 U.S.C. ? 1825. Contact the United States Marshal for
payment procedures. See paragraph 3.13 of the CJA Guidelines for guidance on payment of witness fees generally.
5. Filing fees. These fees are waived for persons proceeding under the CJA.
6. The cost of allowable investigative, expert, or other services. (See Chapter III of the CJA Guidelines). Such services should be
requested using a CJA Form 21.
7. Compensation taxes. Taxes paid on attorney compensation, whether based on income, sales or gross receipts are not reimbursable expenses.
Totals. Enter the Grand Totals where required by adding
"in-court" and "out-of-court" totals, "travel" and "other
expenses."
Item 19.
CERTIFICATION OF ATTORNEY/PAYEE FOR PERIOD OF SERVICE: The
person appointed by the court must certify dates of service for the
representation. Indicate, where required, the date range for the services
claimed on the voucher.
Item 20.
APPOINTMENT TERMINATION DATE, IF OTHER THAN CASE COMPLETION: If
the appointment is discontinued by order of the court (i.e., substitute
counsel or reasons other than disposition of the defendant's case, such as
fugitive defendant, appointment of federal defender, or retention of
counsel by a defendant), give the effective date for termination of
appointment.
Item 21.
CASE DISPOSITION: Indicate case disposition for the person
represented (e.g., dismissed, convicted/final plea guilty, probation
revoked, other, etc.). Select a code from the table below.
Code
District Court Criminal and Other
Proceedings
Dismissed
1
Acquitted by court, or
government motion for judgment of acquittal granted
2
Acquitted by
jury
3
Convicted/final plea
guilty
4
Convicted/final plea
nolo
5
Convicted/court
trial
8
Convicted/jury
trial
9
Mistrial
C
Not Guilty/insane/court
trial
E
Guilty/insane/court
trial
F
Not guilty/insane/jury
trial
G
Guilty/insane/jury
trial
H
Other (PTD matters,
other reps. Transfers)
X
Appeals
Affirmed
A
Reversed
R
Remanded
0
Reversed in
Part/Affirmed in Part
RA
Affirmed in
Part/Reversed in Part
AR
Dismissed
1
Probation/Parole/
Revoked
RV
Restored
RS
Habeas/Petitions/Writs
Granted
GR
Denied
DE
Item 22.
CLAIM STATUS: Indicate, by checking the appropriate box,
whether the voucher is (1) the final payment for the services, (2) an
interim payment, or (3) a supplemental payment (an additional claim
submitted after a final payment is made). If an interim payment, indicate
the interim payment number. Complete the remaining portion of Item 22, and
sign and date the affirmation statement before submitting the claim for
court approval.
Items 23-28a.
APPROVED FOR PAYMENT: The presiding judicial officer will
indicate the amount approved for payment in each category (Items 23 - 26).
These amounts will reflect any mathematical and technical adjustments to
your claim. The "TOTAL AMOUNT APPROVED/CERTIFIED" for
payment equals the amount approved in the major categories, less any
amounts withheld for an interim payment.
Item 29-33.
APPROVED FOR PAYMENT: For payments in excess of the statutory
limitation, the chief judge for the court of appeals (or delegate) will
indicate the amount approved for payment in Items 29 - 32. This amount
will reflect any adjustments in your claim resulting from additional
technical or mathematical review by the chief judge (or delegate). The
chief judge of the court of appeals (or delegate) will indicate the
TOTAL AMOUNT APPROVED for payment of the claim, less any amounts
withheld for an interim payment in Item 33.
Item 34.
SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE):
Before the claim is paid for the excess amount, the chief judge of the
appeals court (or delegate) must sign and date Item 34, approving payment
for compensation that exceeds the statutory threshold. If approval is not
granted, compensation will be limited to the statutory maximum for the
representation and expenses as approved. The JUDGE CODE will be
provided by the court staff.
Form 20